• Curr Opin Anaesthesiol · Dec 2023

    Review

    Initiatives to detect and prevent death from perioperative deterioration.

    • Linda M Posthuma and Benedikt Preckel.
    • Department of Anesthesiology and Intensive Care Medicine, Amphia Hospital, Breda.
    • Curr Opin Anaesthesiol. 2023 Dec 1; 36 (6): 676682676-682.

    Purpose Of ReviewThis study indicates that there are differences between hospitals in detection, as well as in adequate management of postsurgical complications, a phenomenon that is described as 'failure-to-rescue'.In this review, recent initiatives to reduce failure-to-rescue in the perioperative period are described.Recent FindingsUse of cognitive aids, emergency manuals, family participation as well as remote monitoring systems are measures to reduce failure-to-rescue situations. Postoperative visit of an anaesthesiologist on the ward was not shown to improve outcome, but there is still room for improvement of postoperative care.SummaryImproving the complete emergency chain, including monitoring, recognition and response in the afferent limb, as well as diagnostic and treatment in the efferent limb, should lead to reduced failure-to-rescue situations in the perioperative period.Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.

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